Provider Demographics
NPI:1285819631
Name:MOORE-CATT, CONSTANCE MARIE
Entity Type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:MARIE
Last Name:MOORE-CATT
Suffix:
Gender:F
Credentials:
Other - Prefix:MR
Other - First Name:CONNIE
Other - Middle Name:
Other - Last Name:MOORE-CATT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6025 BOGARD DR
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-1511
Mailing Address - Country:US
Mailing Address - Phone:972-398-1331
Mailing Address - Fax:
Practice Address - Street 1:6025 BOGARD DR
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-1511
Practice Address - Country:US
Practice Address - Phone:972-398-1331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management